Partial lesions of the intratemporal segment of the facial nerve: graft versus partial reconstruction.
Ann Otol Rhinol Laryngol
; 117(9): 665-9, 2008 Sep.
Article
in En
| MEDLINE
| ID: mdl-18834068
ABSTRACT
OBJECTIVES:
In cases of partial lesions of the intratemporal segment of the facial nerve, should the surgeon perform an intraoperative partial reconstruction, or partially remove the injured segment and place a graft? We present results from partial lesion reconstruction on the intratemporal segment of the facial nerve.METHODS:
A retrospective study on 42 patients who presented partial lesions on the intratemporal segment of the facial nerve was performed between 1988 and 2005. The patients were divided into 3 groups based on the procedure used interposition of the partial graft on the injured area of the nerve (group 1; 12 patients); keeping the preserved part and performing tubulization (group 2; 8 patients); and dividing the parts of the injured nerve (proximal and distal) and placing a total graft of the sural nerve (group 3; 22 patients).RESULTS:
Fracture of the temporal bone was the most frequent cause of the lesion in all groups, followed by iatrogenic causes (p < 0.005). Those who obtained results lower than or equal to III on the House-Brackmann scale were 1 (8.3%) of the patients in group 1, none (0.0%) of the patients in group 2, and 15 (68.2%) of the patients in group 3 (p <0.001).CONCLUSIONS:
The best surgical technique for therapy of a partial lesion of the facial nerve is still questionable. Among these 42 patients, the best results were those from the total graft of the facial nerve.
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Collection:
01-internacional
Database:
MEDLINE
Main subject:
Facial Nerve
Type of study:
Observational_studies
Limits:
Adult
/
Female
/
Humans
/
Male
Language:
En
Journal:
Ann Otol Rhinol Laryngol
Year:
2008
Document type:
Article
Affiliation country:
Brasil